Individual provider Active NPI

Justin Scott Linefsky, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1205160405
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001143 Issued in DE
Practice address
121 W Loockerman St
Dover, DE 19904-7325
Phone
(302) 674-1397
Fax
(302) 674-1602
NPI assigned
Sep 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 079938 NY
Clinical Social Worker 1041C0700X Q1-0001143 DE Primary
Clinical Social Worker 1041C0700X 73 080121 NY

Addresses

Primary practice location

121 W Loockerman St
Dover, DE 19904-7325

Mailing address

121 W Loockerman St
Dover, DE 19904-7325
Phone (302) 674-1397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910000975 DE Practitioner - Clinical Social Worker 3577870443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Mechanix LLCGroup PAC ID 4587910013, 4 clinicians

Practice addresses (Care Compare)

1011 Mattlind Way
Milford, DE 19963-5369
Phone (302) 503-5142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079938NYMDSocial Worker
73 080121NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Mechanix LLC Social Worker CurrentSince May 20, 2018 Accepting new patients

Locations

556 S DuPont Blvd
Ste I
Milford, DE 19963
Phone (302) 430-7500

1011 Mattlind Way
Milford, DE 19963
Phone (302) 295-6312

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1205160405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047325",
            "telephone_number": "302-674-1397",
            "fax_number": "302-674-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047325",
            "telephone_number": "302-674-1397",
            "fax_number": "302-674-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEFSKY",
        "first_name": "JUSTIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079938",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001143",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 080121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.